Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
FAMILY RESCUE INC
Employer identification number
36-3170408
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
3,180,571
3,131,862
2,578,690
2,129,913
2,313,477
13,334,513
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
3,180,571
3,131,862
2,578,690
2,129,913
2,313,477
13,334,513
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
0
6
Public support. Subtract line 5 from line 4.
13,334,513
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
3,180,571
3,131,862
2,578,690
2,129,913
2,313,477
13,334,513
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
110
26
19
23
16
194
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
8,877
6,042
8,287
71,505
3,921
98,632
11
Total support (Add lines 7 through 10).
13,433,339
12
Gross receipts from related activities, etc. (see instructions)
..................
12
553,576
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
99.260 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.170 %
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000229
Software Version:
2012v2.0
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
FAMILY RESCUE INC
Employer identification number
36-3170408
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE ADMINISTRATION OFFICE.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THE TOP MANAGEMENT OFFICIAL IS RESPONSIBLE FOR HIRING AND EVALUATING THE DEPARTMENT HEADS FOR THE ORGANIZATION. THE TOP MANAGEMENT OFFICIAL ALSO HAS THE AUTHORITY TO DETERMINE INDIVIDUAL SALARY LEVELS WITHIN THE SALARY ADMINISTRATION SCALE APPROVED BY THE BOARD OF DIRECTORS.FAMILY RESCUE PERFORMS WAGE COMPARABILITY STUDIES EVERY THREE YEARS TO ENSURE THE SALARY AND WAGE STRUCTURE IS SIMILAR TO OTHER ORGANIZATIONS OF LIKE SIZE AND EMPLOYEE BASE IN THE AREA.THE MOST RECENT COMPARABILITY STUDY WAS COMPLETED IN JUNE 2012.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
ALL FAMILY RESCUE REPRESENTATIVES (EMPLOYEES, DIRECTORS, AGENTS, BOARD MEMBERS AND/OR VOLUNTEERS) ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY.CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED ANNUALLY BY EACH REPRESENTATIVE. THROUGHOUT THE YEAR, FAMILY RESCUE REQUIRES EACH REPRESENTATIVE TO IMMEDIATELY NOTIFY THE TOP MANAGEMENT OFFICIAL OF ANY ACTUAL, POTENTIAL OR APPARENT CONFLICT OF INTEREST. THE TOP MANAGEMENT OFFICIAL WILL DETERMINE THE APPROPRIATE RESOLUTION OR OTHER COURSE OF ACTION.ANY ACTUAL, POTENTIAL OR APPARENT CONFLICT OF INTEREST DISCLOSED TO THE TOP MANAGEMENT OFFICIAL OR BOARD OF DIRECTORS SHALL BE RESOLVED AS FOLLOWS:- THE FINANCE COMMITTEE SHALL BE RESPONSIBLE FOR MAKING ALL DECISIONS CONCERNING RESOLUTIONS OF CONFLICTS INVOLVING DIRECTORS, THE EXECUTIVE DIRECTOR AND OTHER MEMBERS OF SENIOR MANAGEMENT.- THE CHAIR OF THE COMMITTEE SHALL BE RESPONSIBLE FOR MAKING ALL DECISIONS CONCERNING RESOLUTIONS OF CONFLICTS INVOLVING FINANCE COMMITTEE MEMBERS.- THE CHAIR OF THE BOARD SHALL BE RESPONSIBLE FOR MAKING ALL DECISIONS CONCERNING RESOLUTIONS OF THE CONFLICT INVOLVING THE CHAIR OF THE FINANCE COMMITTEE.- ANY BOARD MEMBER WHO HAS A CONFLICT MUST RECUSE THEMSELVES FROM VOTING ON THE RELATED ISSUES.- THE TOP MANAGEMENT OFFICIAL SHALL BE RESPONSIBLE FOR MAKING ALL DECISIONS CONCERNING RESOLUTIONS OF CONFLICTS INVOLVING REPRESENTATIVES BELOW THE SENIOR MANAGEMENT LEVEL, SUBJECT TO THE APPROVAL OF THE FINANCE COMMITTEE.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
THE TAX PREPARER SUBMITS A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES TO THE TOP FINANCIAL OFFICIAL FOR INITIAL REVIEW, WHO THEN SUBMITS IT TO THE TOP MANAGEMENT OFFICIAL FOR REVIEW AND DISCUSSION. THEN THEY SUBMIT THE FORM 990 TO THE AUDIT/FINANCE COMMITTEE FOR REVIEW. ONCE ALL REVIEW CHANGES HAVE BEEN MADE THE 990 GETS FORWARDED TO EACH BOARD MEMBER ONE WEEK PRIOR TO SCHEDULING A BOARD OF DIRECTOR MEETING. AT THE THE BOARD OF DIRECTOR MEETING, THE FORM 990 OFFICIALLY IS PRESENTED TO THE BOARD BY THE AUDITOR. AFTER REVIEW AND DISCUSSION, THE BOARD OF DIRECTORS VOTE WHETHER TO APPROVE THE FORM 990. THE FORM 990 THAT IS VOTED ON AND APPROVED BY THE BOARD IS FILED WITH THE IRS. AFTER FILING THE FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: OTHER PROGRAM SERVICESThe Community Outreach Program provides walk in and mobile services to adult survivors of domestic violence. Mobile services are provided at other community based agencies, organizations and institutions. The program offers individual and support group counseling, case management services, financial literacy and advocacy to benefit victims of domestic violence. The Community Outreach Program served 186 adult victims of domestic violence. Major Accomplishments of the program are: 29% participated in support group services, 56% participated in individual counseling; 39% participated in financial literacy services; and 31% completed the workshop series. In-Kind contributions $5,316.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.